结肠成形术在低位直肠癌根治术中的应用研究  

Application of coloplasty pouch to sphincter preserving surgery in patients with lower rectal cancer

作　　者：黄世旺 詹庆华 

机构地区：[1]广东省潮州市人民医院普外科,广东潮州521000

出　　处：《中国现代医学杂志》2013年第12期70-72,共3页China Journal of Modern Medicine

摘　　要：目的观察结肠成形术在低位直肠癌保肛手术中的应用价值。方法实验组47例(结肠成形术低位直肠或肛管吻合)和对照组36例(结肠与远端直肠或肛管直接吻合)两组患者肛门控便功能恢复情况及并发症发生率。结果肛门功能实验组大便控制明显优于对照组,术后6个月观察组平均3.4次/天,对照组平均8.7次/天;术后12个月观察组平均1.8次/天,对照组平均6次/天,两组比较差异有显著性(P<0.01)。结论结肠成形术后肛门功能恢复明显优于直接吻合组。【Objective】 To observe the clinical value of sigmoid coloplasty in the lower rectal cancer surgery.【Methods】 47 patients underwent sigmoid coloplasty（treatment group） while 36 patients received straight sigmoidorectostomy（control group）.Anal function and complication rate were assessed and compared between the two groups.【Results】 Average stool frequency were 3.4 times a day in the observation group and 8.7 times a day in the control group after 6 months.Average stool frequency was 1.8 times a day in the experimental group and 6 times a day in the control group after 12 months.There was significant difference between the two groups 12 month after operation（P 0.01）.【Conclusion】 Compared with straight sigmoidorectostomy,coloplasty pouch applied in the lower rectal cancer surgery can significantly improve the anal function without increasing complication rate.

关 键 词：低位直肠癌 肛门功能 结肠成形术 

分 类 号：R735.37[医药卫生—肿瘤]